Organization Active NPI

Pat Med Corp

  • Durable Medical Equipment & Medical Supplies
  • Doral, FL
National Provider Identifier
1174616296
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
PAT MED CORP
Practice address
2500 NW 79TH Ave
Ste 178
Doral, FL 33122-1073
Phone
(305) 599-2059
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Leonardo Gonzalez
Title
President
Phone
(305) 599-2059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

2500 NW 79TH Ave
Ste 178
Doral, FL 33122-1073

Mailing address

2500 NW 79TH Ave
Ste 178
Doral, FL 33122-1073

National Provider Directory

National Provider Directory

Locations

2500 NW 79th Ave
Ste 178
Doral, FL 33122
Phone (305) 470-9765

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174616296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE",
            "address_2": "STE 178",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE",
            "address_2": "STE 178",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221073",
            "telephone_number": "305-599-2059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAT MED CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "LEONARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-599-2059",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doral, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.